Community Integrated Living Arrangement (620)
CSFA Number: 444-22-0638
Agency Name
Department Of Human Services (444)
Agency Identification
DMH
Agency Contact
Barb Roberson
(217) 557-5876
barb.roberson@illinois.gov
Short Description
Scope of Services
The Grantee shall deliver recovery-oriented residential level of care to individuals in DMH Eligibility Group 1. This program shall fund the non-rehabilitative and non-therapeutic costs, such as facility depreciation or rent, utilities, food for Clients and staff costs, associated with providing this level of care and shall not include any costs associated with the delivery and billing of any other available service reimbursable by the Illinois Department of Healthcare and Family Services (HFS) or DHS/DMH.

Deliverables
The Grantee shall deliver residential care to eligible individuals who meet medical necessity criteria prescribed by DMH. Grantee shall register all individuals served under this Exhibit in accordance with the requirements of the Provider Manual and shall report individuals served in this level of care through the submission of claims according to requirements prescribed by the Community Mental Health Service Definition and Reimbursement Guide.
The Grantee shall exhaust all other resources, including but not limited to, Medicaid, Medicare or other insurance, to assure that DHS/DMH is the funder of last resort for this level of care. Grantee shall comply with all other requirements of the Provider Manual, including but not limited to, Grantee monitoring and utilization management.
The Grantee shall have at least one awake, onsite staff person available onsite 24 hours per day, 7 days per week. Definitions and requirements for eligible individuals can be found in the Consumer Eligibility and Enrollment section of the Provider Manual.
Reporting Requirements:
1. Financial Report in accordance with Exhibit C.
2. Performance Report in accordance with Exhibit E.

Payment
Reference the Uniform Grant Agreement, Article IV Payment, Section 4.2 Return of Grant Funds and 4.3 Cash Management Improvement Act of 1990. Payment will be issued monthly and reconciled with reported allowable expenses. Grantee shall submit a quarterly Periodic Financial Report (GOMBGATU-4002 (N-08-17)) to the appropriate email address below no later than November 1, February 1, May 1, and August 1. Reported expenses should be consistent with the approved annual grant budget. Any expenditure variances require prior Grantor approval in accordance with Article VI of the Uniform Grant Agreement to be reimbursable.

PFR Email Address for General Grants:
DHS.DMHQuarterlyReports@illinois.gov

PFR Email Address for Williams Consent Decree: DHS.DMHWilliamsInvoices@Illinois.gov

PFR Email Address for Colbert Consent Decree:
DHS.Colbert.Invoices@illinois.gov

DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the DHS website.

Performance Measures
The Grantee shall submit quarterly Periodic Performance Report (GOMBGATU-4001 (N-08-17)) and the Periodic Performance Report Template by Program (PRTP) to the appropriate email address below no later than November 1, February 1, May 1, and August 1. Reporting templates and instructions for submitting reports can be found in the Provider section of the DHS website.

PPR and PPRT Email Address for All Grants:
DHS.DMHQuarterlyReports@illinois.gov

The following are included in the reporting template:
1. Number of individuals served.
2. Number of individuals properly registered in accordance with Provider Manual requirements.
3. Number of nights of care reported for each recording period.
4. Grantee’s available bed capacity.
5. Number of individuals receiving Rule 140 services according to their individually assessed and planned needs.

Performance Standards
1. 100% of individuals are registered in accordance with Provider Manual requirements.
2. At least 85% of the available capacity for this level of care is utilized each quarter.
3. 100% of individuals will be receiving Rule 140 services according to their individually assessed and planned needs.
Subject Area
Human Services
Program Function
Housing
Enabling Legislation
405 ILCS, the Mental Health Community Services Act
Objectives and Goals
The Grantee shall deliver residential care to eligible individuals who meet medical necessity criteria prescribed by DMH. Grantee shall register all individuals served under this Exhibit in accordance with the requirements of the Provider Manual and shall report individuals served in this level of care through the submission of claims according to requirements prescribed by the Community Mental Health Service Definition and Reimbursement Guide.
The Grantee shall exhaust all other resources, including but not limited to, Medicaid, Medicare or other insurance, to assure that DHS/DMH is the funder of last resort for this level of care. Grantee shall comply with all other requirements of the Provider Manual, including but not limited to, Grantee monitoring and utilization management.
The Grantee shall have at least one awake, onsite staff person available onsite 24 hours per day, 7 days per week. Definitions and requirements for eligible individuals can be found in the Consumer Eligibility and Enrollment section of the Provider Manual.
Types of Assistance
Direct Payments for Specific Use
Uses and Restrictions
Funding for this award will come from the State's General Revenue Fund and does NOT have a match or cost sharing requirement.

Funding Restrictions
DHS/DMH is not obligated to reimburse applicants for expenses or services incurred prior to the complete and final execution of the grant agreement and filing with the Illinois Office of the Comptroller.

Allowable Costs
Allowable costs are those that are necessary, and reasonable and permissible under the law and can be found in 2 CFR 200 - Subpart E - Cost Principles.

Unallowable Costs
Please refer to 2 CFR 200 - Subpart E - Cost Principles to see a collection of unallowable costs.

Indirect Cost Rate Requirements
Please refer to 2 CFR 200.414 regarding Indirect (F&A) Costs.

In order to charge indirect costs to a grant, agencies must have an annually negotiated indirect cost rate agreement (NICRA). There are three types of NICRAs: a. Federally Negotiated Rate; b. State Negotiated Rate and c. De Minimis Rate
Eligibility Requirements
1. Be certified by IDHS as a Community Mental Health Provider or a Community Mental Health Center;
2. Be in good-standing with the Illinois Secretary of State (not applicable to governmental entities)
3. Not be on the Federal Excluded Parties List;
4. Not be on the Illinois Stop Payment list;
5. Not be on the Department of Healthcare and Family Services Provider Sanctions List;
6. Complete one Fiscal and Administrative Risk Assessment (ICQ);
7. Complete a Programmatic Risk Assessment for each competitive program;
8. Register and access both the Illinois Department of Human Services Community Service Agreement (CSA) tracking system and the Centralized Repository Vault (CRV);
9. Obtain a Dun and Bradstreet University Numbering System (DUNS) number. The DUNS number does not replace an Employer Identification Number. DUNS numbers may be obtained at no cost by calling the DUNS number request line at (866) 705-5711 or by applying online: DUNS Request Service. It is recommended that service providers register at least 30 days before the application due date.
10. Register with the System for Award Management (SAM) and maintain an active SAM registration until the application process is complete, and if a grant is awarded, throughout the life of the award. SAM registration must be renewed annually. It is recommended that service providers finalize a new registration or renew an existing one at least two weeks before the application deadline to allow time to resolve any issues that may arise. Applicants must use their SAM-registered legal name and address on all grant applications to DHS/DMH.
Eligible Applicants
Nonprofit Organizations;
Application and Award Processing
1. Complete and submit a Grant Application to DHS.GrantApp@illinois.gov. Each application must be sent in a separate email. Links are provided under the "GA" column at http://www.dhs.state.il.us/page.aspx?item=120031. Page 1 of the applications are pre-populated.
a. The subject line of the email MUST state:
i. Provider Organization Name
ii. CSFA Number (444-22-XXXX)
iii. Contact Name (Barb Roberson)
2. Complete and submit the Fiscal and Administrative Risk Assessment, also known as the ICQ, (short for Internal Control Questionnaire). This is done only once per entity per fiscal year via the GATA Grantee Portal https://www2.illinois.gov/sites/GATA/Pages/default.aspx. While it does not have to be completed prior to submitting the application, this step must be done before an applicant or their application can be considered for an award.
3. Complete and Submit the Programmatic Risk Assessment (PRA) for each grant opportunity. Links are provided under the "PRA" column below;
4. Complete and submit the FY 2021 Uniform Grant Budget in the IDHS CSA Tracking System (http://www.dhs.state.il.us/page.aspx?item=61069);
Post Assistance Requirements
Reporting Requirements
1. Financial Report in accordance with Payments
2. Performance Report in accordance with Performance Measures.
DMH reporting templates and detailed instructions for submitting reports can be found in the Provider section of the IDHS website at http://www.dhs.state.il.us/page.aspx?item=95429. FY21 reports will be uploaded prior to the due date of the first report.
Regulations, Guidelines, Literature
Title 59: Mental Health of the Administrative Code

DHS/DMH Attachment B
DHS/DMH Program Manual
Federal Funding
None
Notice of Funding Opportunities
None
Agency IDGrantee NameStart DateEnd DateAmount
45CYB00625-45CYB00625THE THRESHOLDS07/01/201906/30/20201,359,152
45CYB00408-45CYB00408LESTER AND ROSALIE ANIXTER CENTER07/01/201906/30/2020852,838
45CYB00653-45CYB00653TRINITY SERVICES INC07/01/201906/30/2020801,505
45CYB00217-45CYB00217DUPAGE COUNTY HEALTH DEPARTMENT07/01/201906/30/2020738,731
45CYB00680-45CYB00680ENVISION UNLIMITED07/01/201906/30/2020611,138